LURIE CHILDRENS MEDICAL GROUP INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
LURIE CHILDRENS MEDICAL GROUP INC (EIN 36-3279680)
Tax period
2011-09-01 to 2012-08-31
Filed
2013-07-11
IRS object ID
201341929349300624
Schema version
2011v1.5
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-07-11T11:10:17-05:00Timestamp
Tax Period End Date2012-08-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1ERNST & YOUNG US LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1155 NORTH WACKER DRIVEAddressLine1
CityCHICAGOCity
StateILState
ZIP Code60606ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-09-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN363279680EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1PEDIATRIC FACULTY FOUNDATION INCBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of Name% PAULA M NOBLEInCareOfName
Name ControlPEDINameControl
Phone3122274306Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1225 E CHICAGO AVE PR DEPT BOX 26AddressLine1
CityCHICAGOCity
StateILState
ZIP Code606112991ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NamePAULA M NOBLEName
TitleCFO & TREASURERTitle
Date Signed2013-07-11DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
Phone3128792000Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonThomas P Green MDNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1225 E CHICAGO AVE BOX 269AddressLine1
CityChicagoCity
StateILState
ZIP Code606112991ZIPCode
FieldValueIRS element (for citing)
Gross Receipts111300043GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitewww.luriechildrens.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1984YearFormation
State Legal DomicileILStateLegalDomicile
Activity Or Mission DescriptionPEDIATRIC FACULTY FOUNDATION, INC., EMPLOYS PEDIATRIC MEDICINE SPECIALISTS AND SUBSPECIALISTS WHO PRACTICE AT LURIE CHILDREN'S AND PROVIDE QUALITY HEALTH CARE TO CHILDREN IN THE COMMUNITY.ActivityOrMissionDescription
Nbr Voting Members Governing Body4NbrVotingMembersGoverningBody
Nbr Independent Voting Members2NbrIndependentVotingMembers
Total Nbr Employees453TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year15820466ContributionsGrantsPriorYear
Contributions Grants Current Year19526440ContributionsGrantsCurrentYear
Program Service Revenue Prior Year83303467ProgramServiceRevenuePriorYear
Program Service Revenue CY91773132ProgramServiceRevenueCY
Investment Income Prior Year262InvestmentIncomePriorYear
Investment Income Current Year471InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year99124195TotalRevenuePriorYear
Total Revenue Current Year111300043TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year80681002SalariesEtcPriorYear
Salaries Etc Current Year87575136SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year17722350OtherExpensePriorYear
Other Expenses Current Year21541500OtherExpensesCurrentYear
Total Expenses Prior Year98403352TotalExpensesPriorYear
Total Expenses Current Year109116636TotalExpensesCurrentYear
Revenues Less Expenses Prior Year720843RevenuesLessExpensesPriorYear
Revenues Less Expenses CY2183407RevenuesLessExpensesCY
Total Assets BOY5732780TotalAssetsBOY
Total Assets EOY13089463TotalAssetsEOY
Total Liabilities BOY3456514TotalLiabilitiesBOY
Total Liabilities EOY8629790TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY2276266NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY4459673NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionWE VALUE EXCELLENCE AND INNOVATION IN CLINICAL AND BASIC RESEARCH, COORDINATED AND COMPREHENSIVE PATIENT CARE, ONGOING PHYSICIAN EDUCATION, AND SOUNDLY-BASED CHILD ADVOCACY. OUR GOAL IS TO PROVIDE LEADERSHIP IN ENDEAVORS THAT PROMOTE THE HEALTH OF CHILDREN LOCALLY, NATIONALLY, AND INTERNATIONALLY.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense103838897Expense
Grants0Grants
Revenue91773132Revenue
DescriptionPediatric Faculty Foundation, Inc. ("PFF") is an Illinois not for profit corporation and an organization described under Section 501(c)(3) of the Code whose sole corporate member is Children's Hospital of Chicago Medical Center ("Parent") (FEIN 36-3357004). PFF employs pediatric medicine specialists, subspecialists and hospitalists. Such physicians are based and practice at Ann & Robert H. Lurie Children's Hospital of Chicago ("Lurie Children's"), another affiliated entity of PFF, and at the Lurie Children's outreach locations. Lurie Children's offers over 70 types of pediatric subspecialty care, more than any other Illinois hospital. PFF employs 378 pediatric medicine specialists, subspecialists and hospitalists who provide specialty services to patients of Lurie Children's in the areas of allergy, cardiology, immunology, neonatology, neurology, dermatology, emergency medicine, endocrinology, gastroenterology, general academic pediatrics, genetics, hematology and oncology, hospital-based medicine, infectious diseases, nephrology and pulmonary and critical care medicine. In addition, PFF employs approximately 36 full-time research faculty. Currently, the President of PFF also serves as the Chairman of the Department of Medicine at Lurie Children's and the Chairman of the Department of Pediatrics of Northwestern University's Feinberg School of Medicine ("NUFSM"). Virtually all of those PFF physicians who are the full-time hospital-based medical staff (excluding fellows) hold faculty appointments at NUFSM. PFF's physicians are members of the Faculty Practice Plan at Lurie Children's which is comprised of approximately 521 pediatric sub-specialists and represents the largest provider of pediatric Medicaid services in Illinois. In FY 2011, Lurie Children's faculty physicians had approximately 111,920 combined inpatient and outpatient Medicaid patient encounters for 38,301 pediatric patients. Medicaid represents nearly 46% of its payor mix. Lurie Children's pediatric-specialist physicians (which include PFF physicians) provide a substantial portion of specialty care to children insured by the State of Illinois' All Kids program. In FY 2012, Medicaid reimbursement for physician services for specialty care to children treated by PFF physicians was over $22.2 million less than the costs associated with providing such services. In addition, Lurie Children's is the pediatric training center of NUFSM, providing residencies in both pediatrics and pediatric surgery. Each year, Lurie Children's Department of Pediatrics, through the PFF physicians, trains approximately 200 physicians. Almost half are pediatric residents, and the remainder are fellows in various pediatric sub-specialties including cardiology, hematology/oncology and neonatology. The program ranked 18th nationally in the 2013 U.S. News & World Report's "Best Medical Schools Specialty Rankings for Pediatrics."Description
Total Program Service Expense103838897TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquipfalseReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiesfalseReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees453NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members4NbrVotingGoverningBodyMembers
Number Independent Voting Members2NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodyfalseForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledILStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonPAULA M NOBLENamePerson
Telephone Number3122274306TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1225 E CHICAGO AVE PR DEPT BOX 26AddressLine1
CityCHICAGOCity
StateILState
ZIP Code606112991ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (11 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
THOMAS P GREEN MD
EX-OFFICIO DIR/PRES&CHAIR PFF40.0XX686258058102
KIRK B JOHNSON
DIRECTOR1.0X000
PATRICK M MAGOON
EX-OFF DIR/CEO, MED.CTR/HOSP.1.0X01169917417827
STEVE ROSEN MD
AT-LARGE DIRECTOR1.0X000
PAULA M NOBLE
CFO/TREAS/MED.CTR.&AFFLTS1.0X0543142229178
DONNA S WETZLER
GEN CNSL&CORP SEC/MED.CTR& AFF1.0X0408331381116
BARBARA J DEAL MD
DIVISION CHIEF40.0385183055011X
MARY J C HENDRIX PHD
PRES/SCI OFF RSCH. CTR.40.0575155087442X
ROBIN H STEINHORN MD
ATTENDING PHYSICIAN40.0459996027638X
ANNETTE WAGNER MD
ATTENDING PHYSICIAN40.0419853033857X
PETER F WHITINGTON MD
ATTENDING PHYSICIAN40.0427980055011X
FieldValueIRS element (for citing)
Total Reportable Comp From Org2954425TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs2121390TotalReportableCompFrmRltdOrgs
Total Other Compensation1345182TotalOtherCompensation
Number Individuals GT100 K283NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (3 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
SPI HEALTHCARE
8151 W 183RD STREET SUITE BTINLEY PARKIL60487BILLING SERVICES3809024
WELL CARE NEONATOLOGISTS SC
36W128 SILVER GLEN COURTST CHARLESIL60175NEONATAL PHYSICIANS1017217
NORTHWESTERN MEDICAL FACULTY FOUNDA
676 N ST CLAIRCHICAGOIL60611PHYSICIAN SERVICES152193
FieldValueIRS element (for citing)
Number Of Contractors GT100 K3NumberOfContractorsGT100K
Related Organizations19526440RelatedOrganizations
All Other Contributions0AllOtherContributions
Total Contributions19526440TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Program service Revenue6211105699179656991796
Medical Administration and Education62111060093576009357
PROF SVCS PROV TO LURIE CHILDREN'S RSCH CTR62111057249815724981
OTHER OPERATING REVENUE6211101038399110383991
Medicare/Medicaid Payments6211101266300712663007
FieldValueIRS element (for citing)
Total Program Service Revenue91773132TotalProgramServiceRevenue

Investment Income InvestmentIncome

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Total Revenue Column471TotalRevenueColumn
Exclusion$471ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

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Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

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Total Revenue Column0TotalRevenueColumn

Net Gain Or Loss Investments NetGainOrLossInvestments

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Total Revenue Column0TotalRevenueColumn

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

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Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

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Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

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Total Revenue Column0TotalRevenueColumn
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Total Other Revenue0TotalOtherRevenue

Total Revenue TotalRevenue

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Total Revenue Column111300043TotalRevenueColumn
Related Or Exempt Function Income91773132RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$471ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

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Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

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Total0Total

Foreign Grants ForeignGrants

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Total0Total

Benefits To Members BenefitsToMembers

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Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

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Total1152948Total
Management And General1152948ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

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Total0Total

Other Salaries And Wages OtherSalariesAndWages

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Total70590692Total
Program Services67561806ProgramServices
Management And General3028886ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

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Total5740998Total
Program Services5655683ProgramServices
Management And General85315ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

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Total6272817Total
Program Services5836639ProgramServices
Management And General436178ManagementAndGeneral

Payroll Taxes PayrollTaxes

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Total3817681Total
Program Services3651193ProgramServices
Management And General166488ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

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Total0Total

Fees For Services Legal FeesForServicesLegal

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Total0Total

Fees For Services Accounting FeesForServicesAccounting

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Total0Total

Fees For Services Lobbying FeesForServicesLobbying

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Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

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Total0Total

Fees For Services Other FeesForServicesOther

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Total2285294Total
Program Services2000442ProgramServices
Management And General284852ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total0Total

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total131377Total
Program Services128438ProgramServices
Management And General2939ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

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Total2686535Total
Program Services2686535ProgramServices

Travel Travel

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Total18557Total
Program Services9149ProgramServices
Management And General9408ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total684720Total
Program Services671752ProgramServices
Management And General12968ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total0Total

Payments To Affiliates PaymentsToAffiliates

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Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total0Total

Insurance Insurance

FieldValueIRS element (for citing)
Total7145290Total
Program Services7119960ProgramServices
Management And General25330ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
Billing and Collection Fees41742224174222
Bad Debt31168733116873
Plan tax867155867155
Miscellaneous43147735905072427

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total109116636Total
Program Services103838897ProgramServices
Management And General5277739ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

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BOY0BOY
EOY0EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

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BOY74219BOY
EOY325262EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

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BOY0BOY
EOY0EOY

Accounts Receivable AccountsReceivable

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BOY5129742BOY
EOY12202447EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

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BOY0BOY
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

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BOY0BOY
EOY0EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY528819BOY
EOY561754EOY

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY0BOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Program Related InvestmentsProgramRelated

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BOY0BOY
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY5732780BOY
EOY13089463EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY3456514BOY
EOY8629790EOY

Grants Payable GrantsPayable

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BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

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BOY0BOY
EOY0EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

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BOY0BOY
EOY0EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY3456514BOY
EOY8629790EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY2276266BOY
EOY4459673EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY2276266BOY
EOY4459673EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY5732780BOY
EOY13089463EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses2183407ReconcilationRevenueExpenses
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3XSupportingOrganization509a3
Supporting Org509a3 Type3 Func IntXSupportingOrg509a3Type3FuncInt
Certification CheckboxXCertificationCheckbox
Contrib By Controlling IndividualfalseContribByControllingIndividual
Contribution By Related PartyfalseContributionByRelatedParty
Contrib By35 Controlled EntityfalseContribBy35ControlledEntity

Supported Org Information SupportedOrgInformation

Name Name

FieldValueIRS element (for citing)
Business Name Line1ANN & ROBERT H LURIE CHILDREN'S HOSPITAL OF CHICAGOBusinessNameLine1
FieldValueIRS element (for citing)
EIN362170833EIN
Type Of Organization03TypeOfOrganization
Listed In Governing DoctrueListedInGoverningDoc
Supported Organization NotifiedtrueSupportedOrganizationNotified
Organized In UStrueOrganizedInUS
Amount$103,838,897Amount
FieldValueIRS element (for citing)
Total Number Of Supported Orgs1TotalNumberOfSupportedOrgs
Sum Of Amounts103838897SumOfAmounts

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgtrueCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentstrueAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (9 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
THOMAS P GREEN MD
486587019887907920245000336020744360000
PATRICK M MAGOON
06699040460460039553039508002274701587744054248
PAULA M NOBLE
03593240182200016180214043015135077232000
DONNA S WETZLER
02687580137717018560364116017000078944700
BARBARA J DEAL MD
36931101535605160245000305110440194000
MARY J C HENDRIX PHD
47792409671505160655280219140662597000
ROBIN H STEINHORN MD
3924400670400516024500031380487634000
ANNETTE WAGNER MD
25376401658130276024500093570453710000
PETER F WHITINGTON MD
4179540923407920245000305110482991000

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierSupplemental Compensation InformationIdentifier
Return ReferenceSchedule J, Part I, Line 3ReturnReference
ExplanationPursuant to the bylaws of Children's Hospital of Chicago Medical Center ("Medical Center"), the Governance Committee of the Medical Center is charged to review and approve senior executive compensation for the Medical Center and its affiliates. The Governance Committee has adopted a written executive compensation philosophy which it follows when it reviews and approves the compensation and benefits of the organization's senior management, including the President/Chief Executive Officer and the other senior managers. The compensation philosophy is subject to periodic review for continued appropriateness by the Governance Committee. With the assistance of a compensation consultant and information from a variety of sources (specified on Schedule J), the Governance Committee confirmed the total amounts to be paid were reasonable and comparable to amounts paid by similarly situated organizations. Outside legal counsel also serves an integral role in advising the Governance Committee with respect to federal tax requirements in setting compensation and the establishment of the "rebuttable presumption of reasonableness" under the federal tax law intermediate sanctions rules. The process followed by the Governance Committee, including a description of the data relied upon and the Governance Committee's decisions, was thoroughly and contemporaneously documented. The Governance Committee has expressly reviewed the reasonableness of all such payments, and has concluded, as the result of a process that is designed to qualify for the rebuttable presumption of reasonableness, that all such amounts are reasonable and do not exceed fair market value for the services provided. The Governance Committee was comprised of members of the Medical Center and the Ann & Robert H. Lurie Children's Hospital of Chicago Boards of Directors who were determined to be disinterested for these purposes. The Governance Committee conducts an ongoing, regular review of the disinterested status of its members, and will take appropriate action with respect to anyone having an interest with respect to one or more executives so as to preserve the application of the rebuttable presumption of reasonableness. Schedule J, part I, Question 4b The following listed individuals have an amount included in Schedule J, Part II, Column C for an amount accrued but not vested under a supplemental executive retirement plan ("SERP"): Patrick M. Magoon $361,818 Paula M. Noble $188,823 Donna S. Wetzler $342,069 Benefits earned under the SERP are non-vested forms of deferred compensation that fund the employee's eventual retirement benefit. These benefits are provided in exchange for all of the employee's years of service to the organization, and the cost of the benefits will vary from year to year based on interest rates, age, and many other factors. The amounts are at risk and will not be paid unless and until the employee has provided substantial future services to the organization. Benefits under the SERP vest at age 62, and are forfeited if the employee leaves the organization voluntarily before age 62 (except upon the sole discretion of the Board, and only if the participant has reached at least age 55 with at least 10 years of service). Participants who voluntarily leave the organization before age 55 forfeit their entire SERP benefit upon termination. Schedule J, Part I, Question 5a Employed physicians are compensated in part on the basis of personal professional productivity that takes into account, in part, the revenues of the organization generated by the physician. Schedule J, Part I, Question 7 The organization provides annual incentive compensation to senior management under a senior management incentive compensation plan. These amounts are included in schedule J, Part II, Column B (ii). The plan is designed to offer opportunities for additional compensation tied to performance against pre-determined financial, patient satisfaction, patient safety and individual goals approved in advance by the Governance Committee of Ann & Robert H. Lurie Children's Hospital of Chicago (Lurie Children's) and Children's Hospital of Chicago Medical Center (Medical Center), which serves as the Compensation Committee of Lurie Children's and Pediatric Faculty Foundation, Inc. The Governance Committee has expressly reviewed the reasonableness of all such payments and has concluded, as the result of a process that is designed to qualify for the rebuttable presumption of reasonableness under federal tax law, that all such amounts are reasonable and do not exceed fair market value for the services provided. Schedule J, Part II The following individuals are not compensated by the reporting organization for his or her service as a director or officer. Rather, the compensation reported on Form 990, Part VII and on Schedule J, Part II reflects compensation paid by Ann & Robert H. Lurie Children's Hospital of Chicago (Lurie Children's) for the individual's substantial and full-time services as an employee. For more details, please refer to the 2011 Form 990 of Lurie Children's, FEIN 36-2170833. Patrick M. Magoon Paula M. Noble Donna S. WetzlerExplanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (9 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF CLASSES OF MEMBERS OR STOCKHOLDERSFORM 990, PART VI, QUESTION 6Children's Hospital of Chicago Medical Center ("Medical Center") is the organization's sole corporate member.
Description of Classes of Persons and the Nature of Their RightsForm 990, Part VI, Question 7aThe organization's sole corporate member, the Medical Center, has certain reserved powers, including the power to appoint and remove certain directors of the organization.
Descr Classes of Persons, Decisions Requiring Appr & Type of Voting RightsForm 990, Part VI, Question 7bThe Medical Center, through its board of directors or designated committee, as the sole corporate member of the organization, has certain reserved powers with respect to appointment and removal of certain directors, appointment of certain officers, approval of amendments to governing documents, approval of financial matters, and approval of significant transactions including, but not limited to, merger, dissolution, disposition of assets other than in the ordinary course of business, and creation of subsidiaries.
Describe the Process used by Management &/or Governing Body to Review 990Form 990, Part VI, Question 11BA copy of the organization's fiscal year 2012 tax return ("Form 990") was provided to each member of the organization's Audit Committee (of the Board) before a special Audit Committee meeting and before the Form 990 was filed. The Audit Committee is the Committee of the Medical Center charged with the oversight of audit and tax matters for the parent and affiliates. The audit committee was provided a detailed overview of the form 990 by the chief financial Officer ("CFO") and the organization's director of tax compliance. The CFO and director of tax compliance also responded to the Audit Committee members' questions and afforded the opportunity for detailed discussion of the Form 990, prior to the audit committee taking action to approve The filing of the Form 990. As part of its tax preparation process, the Organization on an ongoing basis consulted its tax consulting firm and outside tax legal counsel, both of which possess expertise in health care and tax-exempt return preparation, to advise and assist in the preparation of Form 990. These advisors worked closely with the organization's Finance and internal legal personnel and other members of the organization's team assembled to participate in the preparation of The Form 990. Prior to presenting the Form 990 to the board's audit Committee, the organization's team, including its advisors, met frequently to discuss and review drafts of the form.
Description of Process to Monitor Transactions for Conflicts of InterestForm 990, Part VI, Question 12cOn an annual basis, the Medical Center and its affiliates submit a comprehensive questionnaire to Board Members, senior management and purchasing personnel requiring disclosure of all interests that could give rise to actual or potential conflicts of interest. The Medical Center initiates follow up contact with those who do not respond and to clarify responses, where necessary. The Medical Center reviews each disclosure and provides a summary of relevant disclosures for the review and approval of its Governance Committee. Pursuant to the conflicts of interest policy of the Medical Center and affiliates ("Corporation"), directors, officers, physician leaders, and others who are subject to the policy are required To promptly and fully disclose in writing any actual, apparent or potential conflict of interest to the president of the Corporation and General Counsel. This disclosure shall be provided to the Governance Committee of the Corporation which shall consider all conflicts of interest issues and, if appropriate, shall provide such written disclosure to the directors, board committees considering the proposed transaction or other appropriate parties. In addition, on an annual basis, the corporation surveys each individual subject to the policy as to the existence of actual or potential conflicts of interest. The corporation will not enter into an agreement, transaction or other arrangement involving a conflict of interest unless the disinterested members of the governance committee of the corporation's Board of Directors determine by a majority vote that appropriate safeguards to protect the charitable mission of the corporation have been implemented. The subject interested person may not be present when the vote is taken. If it is determined that a conflict of interest exists, a disinterested person or committee of disinterested members may be assigned to investigate alternatives to the proposed transaction or arrangement. After exercising due diligence, the Board or Committee shall determine whether the Corporation can obtain a more advantageous transaction or arrangement, with reasonable efforts, from a person or entity that would not give rise to a conflict of interest. If a more advantageous transaction or arrangement is not reasonably attainable under circumstances that would not give rise to a conflict of interest, the board or committee shall determine by a majority vote of the disinterested directors whether the transaction is in the Corporation's best interest and for its own benefit and whether the transaction is fair and reasonable to the Corporation, and shall make its decision as to whether to enter into the transaction or arrangement.
Offices & Positions for Which Process was Used, & Year Process was BegunForm 990, Part VI, Questions 15a & 15bThe authority to review and approve executive compensation has been delegated to the Governance Committee of the Medical Center Board of Directors ("Governance Committee"). The Governance Committee has adopted a written executive compensation philosophy which it follows when it reviews and approves the compensation and benefits of the organization's senior management, including the President and the other senior managers. The compensation philosophy is subject to periodic review for continued appropriateness by the Governance Committee. With the assistance of an independent compensation consultant and information from a variety of sources, such as compensation surveys, the Governance Committee confirmed the total amounts to be paid were reasonable and comparable to amounts paid by similarly situated organizations. Outside legal counsel also serves an integral role in advising the governance committee with respect to federal tax requirements in setting compensation and the establishment of the rebuttable presumption of reasonableness. The process followed by the governance committee, including a description of the data relied upon and the governance Committee's decisions, was thoroughly and contemporaneously documented. The Governance committee has expressly reviewed the reasonableness of all such payments, and has concluded, as the result of a process that is designed to qualify for the rebuttable presumption of reasonableness under federal tax law, that all such amounts are reasonable and do not exceed fair market value for the services rendered. The Governance Committee was comprised of members of the Medical Center and the Lurie Children's Boards of Directors who were determined disinterested for these purposes. The Governance Committee conducts an ongoing and periodic review of the disinterested status of its members, and will take appropriate action with respect to anyone having an interest with respect to one or more executives so as to preserve the application of the rebuttable presumption of reasonableness.
Avail of Gov Docs, Conflict of Interest Policy, & Fin Stmts to Gen PublicForm 990, Part VI, Question 19The organization's financial statements are publicly available online at www.dacbond.com. The organization's articles of incorporation and annual reports are available through the Illinois Secretary of State. The organization also makes its general governing documents available to the general public upon request.
Average Hours Worked For Related OrganizationsFORM 990, PART VII, SECTION A, LINE 1AThomas P. Green, MD is an employee of Pediatric Faculty Foundation and generally works 40 hours per week. Approximately 2 hours of additional time each week is spent providing services to related organizations. Mary J.C. Hendrix, PhD is an employee of Pediatric Faculty Foundation and is an officer and director of Lurie Children's Research Center. She generally works 40 hours per week. Approximately 2 hours of additional time each week is spent providing services to related organizations. The following individuals are employees of Lurie Children's and generally work 40 hours per week. Approximately 2 hours of additional time each week is spent providing services to related organizations: Patrick M. Magoon Paula M. Noble Donna S. Wetzler
Information about Supported OrganizationsSchedule A, Part IFor a description of the manner in which Pediatric Faculty Foundation supports Ann & Robert H. Lurie Children's Hospital of Chicago, please see the statement of program accomplishments included in Schedule O.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (5 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
LURIE CHILDREN'S HOSP OF CHIC RSCH CTR
225 E CHICAGO AVEChicagoIL60611363357005ResearchIL501(C)(3)4Medical Ctrfalse
LURIE CHILDREN'S HOSPITAL OF CHICAGO FDN
225 E CHICAGO AVEChicagoIL60611363357006FundraisingIL501(C)(3)7Medical Ctrfalse
CHILDREN'S HOSPITAL OF CHICAGO MED CTR
225 E CHICAGO AVEChicagoIL60611363357004Health CareIL501(C)(3)11 III-FINAfalse
LURIE CHILDREN'S
225 E CHICAGO AVEChicagoIL60611362170833HospitalIL501(C)(3)3Medical Ctrfalse
CMH Self Insurance Foundation
225 E CHICAGO AVEChicagoIL60611366638400InsuranceIL501(C)(3)11 III-FIMEDICAL CTRfalse

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1CMMC INSURANCE CO LTDBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1225 E CHICAGO AVEAddressLine1
CityCHICAGOCity
StateILState
ZIP Code60611ZIPCode
FieldValueIRS element (for citing)
EIN000000000EIN
Primary ActivitySELF INSURANCEPrimaryActivity
Legal Domicile Foreign CountryCJLegalDomicileForeignCountry

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1MEDICAL CTRBusinessNameLine1
FieldValueIRS element (for citing)
Type Of EntityCORPORATIONTypeOfEntity
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgstrueRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

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